Environmental Health & Safety Policy Manual
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1 Environmental Health & Safety Policy Manual Issue Date: 11/20/09 Updated 7/11/2012 Policy # EHS Biological and rdna Spill Response Procedures 1.0 PURPOSE A wide variety of biohazardous materials are used throughout the LSU Health Sciences Center. These biological spill procedures are a general guidance for a rapid, appropriate, and safe response. 2.0 SCOPE These procedures address the proper response to incidents involving spills, leaks, or discharges of biohazardous materials and/or recombinant DNA (rdna) 3.0 RESPONSIBILITIES: 3.1 Environmental Health & Safety (EH&S) shall: Provide assistance, additional clean-up materials, and personal protective equipment (PPE) as needed to personnel to safely clean up minor spills in their work areas. Respond to and assess significant spills. Hold recurring drills to ensure proficiency on spill response. Maintain back-up spill response kits. 3.2 Principal Investigators/Supervisors shall: Develop and maintain spill response procedures based on the biosafety level (see Appendix A) of the area-specific biohazardous materials. These procedures will be made available to all employees. Ensure all employees are properly trained to respond safely to a hazardous biological spill or release in their area. Ensure that a biological spill response kits (with components as shown in Appendix B) and PPE are available and accessible. Report large biological spills (greater than 50mL) of Biosafety Level (BSL) 1 and BSL 2 materials immediately to University Police and EH&S. Report all spills involving BSL 3 or any rdna materials immediately to EH&S. If EH&S is unavailable, or if the spill occurs after hours, contact University Police. Follow incident/accident reporting procedures outlined in EHS , Incident/Accident Reporting and Investigation Policy.
2 Immediately notify the Biological Safety Officer (BSO) of all rdna exposures. Work with the BSO to report rdna accidents to the Office of Biotechnology Activities as required by National Institutes of Health (NIH) guidelines. 3.3 Employees shall: Be trained on the proper use, handling, and spill response procedures regarding biohazardous materials. Wear personal protective equipment and use spill control equipment in the proper manner. Promptly report all biohazardous spills to their supervisor. 4.0 BIOLOGICAL SPILL CLEAN-UP PROCEDURES The response to a biohazardous material spill varies based on several factors, including the actual agent and the associated risks, the agent s biosafety level, the amount of material spilled, type of spill and the location of the spill. These biological spill procedures are general guidance for a rapid, appropriate, and safe response to a biohazardous spill. Each lab working with biohazardous material must develop area-specific spill response procedures. Minimizing personnel exposure shall take priority over clean-up. If any person is exposed to biohazardous materials, they should immediately remove contaminated clothing or PPE and wash the affected areas with soap and water. If medical assistance is needed, immediately contact University Police at Note that if the spill involves large amounts (greater than 50mL) of BSL 1 or 2 material, or any amount of BSL 3 or rdna material, immediately call the BSO. 4.1 Procedures for Spills Inside the Laboratory Notify other employees and clear area immediately, closing the lab door upon exiting. Wait at least 30 minutes for aerosol to settle before entering spill area. Remove all contaminated clothing and place in biohazard bag. Run the bag through an autoclave at a later time. Put on necessary PPE including disposable gown, safety glasses and gloves. Place dry paper towels on the spill then layer a second set of disinfectant soaked paper towels over the spill. Encircle the spill with additional disinfectant being careful to minimize aerosolization while assuring adequate contact. Allow a minimum of 20 minutes contact time to ensure germicidal action of disinfectant. Wipe up spill, working from the edges to the center. Clean spill areas with fresh paper towels soaked in disinfectant. Decontaminate all items within the spill area. Disinfect all mops and cleaning tools. Discard contaminated disposable materials using appropriate biohazardous waste disposal procedures.
3 Wash hands thoroughly with soap and water immediately after the clean-up is complete. 4.2 Procedures for Biosafety Level 3 Spills Do not breathe if a spill of contaminated material occurs outside the biological safety cabinet. Immediately put on required respirator. Surround the area of the spill with spill dikes to keep from spreading, carefully pour appropriate disinfecting solution (e.g., Amphyl) onto spill, cover area with paper towels or absorbent cloths, and then flood spill area again with disinfecting solution. Phone outside for help, if necessary. The access office has complete face shield-style respirators, which must be worn by any person who enters the BSL 3 laboratory to assist. Allow disinfectant to remain on spill for at least an hour. Afterwards, remove and bag the spill dikes and paper toweling for autoclaving, flood spill area again with disinfectant, cover with towels for another hour, repeat, a third time, and then clean entire affected area thoroughly. If clothes or PPE has been splattered with contaminated material, they must be removed and autoclaved before leaving the BSL 3 laboratory. A set of surgical greens shall be made available to wear in the case of accidental spills. The spill must be reported as soon as possible to the laboratory supervisor, University Police, and the BSO. Any occupational exposures shall be document using the appropriate Incident/Accident reporting forms. 4.3 Procedures for Spills Inside the Biological Safety Cabinet Wear laboratory coat, eye protection and gloves during clean-up. Allow cabinet to continue running during clean-up. Apply approved disinfectant (one part bleach to nine parts water is acceptable for most small spills; apply concentrated disinfectant for large spills) and allow a minimum of 15 minutes contact time. Wipe up spillage with disposable disinfectant-soaked cloth or tissue. Wipe the walls, work surface and any equipment in the cabinet with a disinfectant-soaked cloth. Discard contaminated disposable materials in appropriate hazardous biological waste container(s) and autoclave before discarding as waste. Place contaminated reusable items in biohazard bags or in autoclavable pans with lids before autoclaving and cleanup. Expose non-autoclavable materials to disinfectant and allow 15 minutes contact time before removing from the biological safety cabinet. Remove protective clothing used during cleanup and place in a biohazard bag for autoclaving if necessary. Wash your hands thoroughly with soap and water immediately after the cleanup is complete. Run cabinet at least 15 minutes after cleanup before resuming work or turning
4 cabinet off. 4.4 Procedures for Spills Inside the Centrifuge Ensure centrifuge is closed. Notify other employees and clear area immediately, closing the lab door upon exiting. Wait at least 30 minutes for aerosol to settle before entering spill area. Put on necessary PPE including a laboratory coat, eye protection and gloves during cleanup. Remove rotors and buckets to nearest biological safety cabinet for clean-up. Thoroughly disinfect inside of centrifuge, rotors, and buckets by applying an approved disinfectant (one part bleach to nine parts water is acceptable for small spills; apply concentrated disinfectant for large spills) and allow a minimum of 15 minutes contact time. After thorough disinfection of rotor or rotor cups, remove contaminated debris and place in appropriate hazardous biological waste container(s) and autoclave before disposing as infectious waste. 4.5 Procedures for Spills Outside the Laboratory, In Transit Prior to transporting biohazardous materials, secure materials in an unbreakable, well-sealed primary container placed inside of a second unbreakable, lidded container (cooler, plastic pan or pail). Label the outer container with the biohazard symbol if material is BSL or Risk Group 2 or higher. Should a spill occur in a public area, do not attempt to clean it up without appropriate PPE. Contact University Police immediately, and notify EH&S to assist in the clean-up. Secure the area, keeping all personnel clear of the spill. As an interim measure, wear gloves and place paper towels, preferably soaked in disinfectant, directly on spilled materials to prevent spread of contamination. To assure adequate contact, surround the spill with disinfectant, if available, taking care to minimize aerosols. Wash your hands thoroughly with soap and water immediately after the cleanup is complete. Stand by during spill response and cleanup activity to provide information and assistance. 4.6 Procedures for Biological Spills Involving rdna Follow directions outlined in 4.2 through 4.5, depending on location of the spill. If microorganisms are present, select appropriate decontaminant and contact time. Report the spill to your supervisor. Notify the BSO at EH&S immediately. 4.7 Procedures for Biological Spills Involving Radioactive Materials When a biohazardous spill also involves radioactive materials, cleanup procedures
5 may have to be modified. The extent of the modification will depend on the level of radiation and the nature of the isotope involved. The Radiation Safety Officer should be called immediately at TRAINING Environmental Health and Safety personnel shall participate in periodic routine spill response drills. Principal Investigators/Laboratory Supervisors are responsible to provide laboratory-specific training on biohazardous spill clean-up procedures. 6.0 RECORD KEEPING Principle Investigators/Supervisors shall keep their employee s training records for the current fiscal year plus the past three fiscal years. EH&S shall maintain records of all drills and significant spills. 7.0 INSPECTIONS AND PROGRAM REVIEW Program effectiveness will be assessed annually by the Environmental Health and Safety Department. Furthermore, program compliance will be evaluated at the Institutional Biosafety Committee meetings and during routine laboratory inspections. 8.0 REFERENCES Centers for Disease Control and Prevention Office of Health and Safety National Institutes for Health Office of Biotechnology Activities World Health Organization Laboratory Biosafety Manual 3 rd Edition 9.0 APPENDICES Appendix A - Biosafety Risk Groups Appendix B - Biological Spill Kit Components
6 Biosafety Risk Groups It is critical to determine the biosafety level of the biohazardous material prior to cleaning and/or containing biological spills. Biosafety Risk Groups are as follows: Biosafety Level 1 (BSL 1) - Organisms are well-characterized agents not known to cause disease in healthy adult humans and are of minimal potential hazard to laboratory personnel or to the environment. Examples include B. subtilis, E. coli, and L. acidophilus. Biosafety Level 2 (BSL 2) - Organisms are agents of moderate potential hazard to laboratory personnel and the environment. Examples include Salmonellae, Hepatitis B virus, bloodborne pathogens, and human body fluids (particularly when visibly contaminated with blood). Biosafety Level 3 (BSL 3) - Organisms are indigenous or exotic agents which may cause serious or potentially lethal disease and present the potential for aerosol transmission. Examples include H5N1 Influenza virus, Bacillus anthracis, Yersinia pestis, Burkholderia, Francisella tularensis, Brucella, Clostridium botulinum, Mycobacterium tuberculosis, Coxiella burnetii, Hantavirus, and West Nile virus. Appendix A
7 Biological Spill Response Kit Components All laboratories working with biohazardous materials shall have, at minimum, the following spill response supplies: Disinfectant solution* Forceps, tongs, broom, dust pan PPE: safety glasses, goggles, or face shield, utility gloves, wrap-around lab coat, shoe covers (optional) Red biohazard bag and sharps container Paper towels or other absorbent Broken glass receptacle(s) should also be available. *Generally, a one part dilution of household bleach to nine parts water prepared fresh daily is effective in most situations. Contact EH&S for more information about selection of disinfectants, particularly for any organisms suspected of being atypical in their sensitivity to disinfectants. Appendix B
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